Please complete the form below. Your registration is not confirmed until Payment is received (cheque or Paypal/Credit Card)
First Name
Last Name
Note: All communications regarding classes (ie. cancellations) will be by email only
Email
Phone (numbers only, no spaces or dashes)
Cell Phone
Please indicate which YOGA and/or Zumba class you'd like to register for.
Yoga: Tuesdays starting April 17th for 6 weerks. . Cost is $55
Zumba: Thursdays starting April 26th for 8 weeks., Cost is $70
Note: Zumba classes may be combined if there are not enough participants.
What form of payment will you be using?
Cheques are payable to "Dunrobin Community Association" and can be mailed or dropped off at: 115 Scotch Pine Grove (off Greenland), Dunrobin, K0A 1T0
If you are paying by PayPal/Credit Card, you will be prompted to pay after you submit this form.
“I understand the conditions of this waiver and release and forever discharge the instructor, the City of Ottawa and the Dunrobin Community Association, their executives and members, from any claims for personal injuries of any nature whatsoever, arising by reason of my participation in this program."
"I have read and I attest and verify the above statement, understand it, and by typing my name below, I confirm its acceptance. I have full knowledge of the risks involved in my or my child’s participation.”
Please type your name in the box below to signify agreement. Particpants under 18 years must have the parent sign below.
Type your First and Last Name here
Note: If the submit button doesn't take you to the "Thank You" Page your registration has not been received. If you have Firefox, please try again as the problem is unique to Internet Explorer. Alternatively, you can email me with your name, and the class that you'd like to participate in. Sorry for the inconvenience!